Paid

Invoice

From:

515 E. Carefree Hwy.
Phoenix, AZ 85085-8839

insurance@pibinc.com

Invoice Number INV-0193
Invoice Date June 25, 2019
Total Due $0.00
To:
David A Lotz, CPA, PC

2930 N Swan Rd, # 209
Tucson, AZ 85712

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Professional Liability Insurance Annual Premium $1,221.003.00%$1,257.63
Sub Total $1,257.63
Tax $0.00
Paid -$1,257.63
Total Due $0.00